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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do I Have Severe Burning And Itching Sensations On Skin After Using Melacare Forte?

hello doctor,
I am 26 yrs old unmarried girl and have started using melcare forte since 3-4days on specific darkened areas of my face,that is,areas under the nose including chin portions.But my i have not yet marked any whitening symptoms rather severe burning and itching sensations are experienced on those areas.Kindly suggest what to do.
Mon, 27 Jan 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM.

Melacare forte contains combination of 0.025%tretinoin +4% hydroquinone +0.1% mometasone. It is a very effective combination for melasma but it can cause irritation at the beginning of therapy in a few patients because both hydroquinone and tretinoin are irritant by itself and can cause additive irritation when used in this combination (sometimes exacerbated by over-enthusiastic applications)

If irritation is experienced by the patients, the cream should be stopped for a week and then restarted by using it every alternate days rather than daily OR only for a few hours daily and then washed off.

Gradually tolerance develops and the patients can then tolerate daily applications henceforth.

take care
regards
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Why Do I Have Severe Burning And Itching Sensations On Skin After Using Melacare Forte?

Hi. Thanks for posting your concern at HCM. Melacare forte contains combination of 0.025%tretinoin +4% hydroquinone +0.1% mometasone. It is a very effective combination for melasma but it can cause irritation at the beginning of therapy in a few patients because both hydroquinone and tretinoin are irritant by itself and can cause additive irritation when used in this combination (sometimes exacerbated by over-enthusiastic applications) If irritation is experienced by the patients, the cream should be stopped for a week and then restarted by using it every alternate days rather than daily OR only for a few hours daily and then washed off. Gradually tolerance develops and the patients can then tolerate daily applications henceforth. take care regards